Unlabelled: Fractures of the distal third of the radius seriously impair quality of life and have high economic and social costs, and families face the high costs of care in our country. There are only a few studies evaluating the direct medical and non-medical costs resulting from distal radius fractures, from the patient perspective.
Objective: Determine the treatment-related costs and their relation with the benefits provided by the treatment.
Material And Methods: A total of 120 patients with distal radius fracture were enrolled; they were divided into two groups based on their treatment, which included a cast and surgery with an angular stability plate, both provided by the hand surgery and microsurgery services; treatment-related costs were analyzed: Bed days, surgery, implant, cast, visit to the doctor, disability days and rehabilitation.
Results: 80% were females, mean age was 50 years, the patients' disability cost time was estimated using the 2007 minimum wage for geographic area "A". The mean surgical treatment-related expenses amounted to $ 9,850, with a mean cost for disability days of $8,462. In the case of conservative treatment, mean expenses were $1,075, with a mean cost for disability days of $16,004; however, the return to the family economy took longer and involved delayed wrist mobility.
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JBMR Plus
February 2025
Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3168, Australia.
Quantifying precision error for DXA, peripheral QCT (pQCT), and HR-pQCT is crucial for monitoring longitudinal changes in body composition and musculoskeletal outcomes. Agreement and associations between bone variables assessed using pQCT and second-generation HR-pQCT are unclear. This study aimed to determine the precision of, and agreement and associations between, bone variables assessed via DXA, pQCT, and second-generation HR-pQCT.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
January 2025
Stony Brook University Hospital, Stony Brook, USA.
Purpose: Diabetes mellitus (DM) is a well-established risk factor for postoperative complications. Distal radius fractures (DRFs) are a common orthopedic injury and often require open reduction and internal fixation (ORIF). The rise of ORIF utilization warrants investigation into factors that may expose patients to postoperative complications following DRF ORIF.
View Article and Find Full Text PDFFront Bioeng Biotechnol
January 2025
Department of Orthopedics, Yangpu Hospital, School of Medicine, Tongji University, Shanghai, China.
Background: The most common postoperative complication of the Sauvé‒Kapandji (S-K) procedure is proximal ulnar stump instability. The distal oblique bundle (DOB) is a stable tissue used to stabilize the distal radioulnar joint. This study created finite-element models of the distal oblique bundle (DOB) to determine its effect on the proximal ulnar stump instability encountered during the Sauvé‒Kapandji procedure.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
January 2025
Ankara University Faculty of Medicine, Orthopaedics and Traumatology Department, Hand Surgery Unit, Ankara, Turkey.
Introduction: Although there is no consensus in the literature, it is believed that the Soong classification system and fracture pattern are risk factors for plate removal in distal radius fractures.
Hypothesis: The aim of this large-scale study was to evaluate the relationship between Soong classification, fracture pattern, and implant removal in distal radius fractures.
Materials And Methods: We retrospectively evaluated 795 patients who underwent surgery using a volar locking plate for distal radius fractures at our clinic between 2005 and 2022.
Arch Osteoporos
January 2025
Department of Orthopaedics and Traumatology, Queen Mary Hospital The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China.
Unlabelled: Grip strength measurement, as a surrogate of sarcopenia diagnosis, effectively predicts secondary fracture risk in distal radius fracture patients. This simple tool enhances clinical practice by identifying high-risk patients for targeted interventions, potentially preventing or reversing functional decline and recurrent fractures.
Purpose: To evaluate grip strength and hand muscle cross-sectional area as predictors of secondary fracture risk in patients with a history of distal radius fracture (DRF), serving as surrogates of the diagnosis of sarcopenia.
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